Organization
ASCENSION PARISH MENTAL HEALTH AND ADDICTIVE DISORDERS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN C. MITTENDORF PH.D., LCSW (DIRECTOR)
(225) 621-1113
Entity
Organization
Contact information
Practice address
1112 S. EAST ASCENSION COMPLEX AVENUE, GONZALES, LA 70737-4265
(225) 621-5775
Mailing address
1112 S. EAST ASCENSION COMPLEX AVENUE, GONZALES, LA 70737-4265
(225) 621-5775
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
260A
LA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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